Organization Active NPI

Kathy Karamlou, M.D., Inc., a Medical Corporation

  • Rheumatology Physician
  • Newport Beach, CA
National Provider Identifier
1194906545
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A72397 Issued in CA
Legal business name
KATHY KARAMLOU, M.D., INC., A MEDICAL CORPORATION
Practice address
361 Hospital Rd Ste 428
Newport Beach, CA 92663-3525
Phone
(949) 631-6500
Fax
(949) 631-9700
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy Karamlou, MDNPI 1740209303
Title
President
Phone
(949) 631-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X A72397 CA Primary

Addresses

Primary practice location

361 Hospital Rd Ste 428
Newport Beach, CA 92663-3525

Mailing address

PO Box 5688
Irvine, CA 92616-5688
Phone (949) 631-6500

Other identifiers 1

IdentifierTypeStateIssuer
00A723970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000484 CA Part B Supplier - Clinic/Group Practice 0547345365 Receives reassigned benefits from 2 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

355 Placentia Ave
Ste 208
Newport Beach, CA 92663
Phone (949) 400-7281

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1194906545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5688",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926165688",
            "telephone_number": "949-631-6500",
            "fax_number": "949-631-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 428",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633525",
            "telephone_number": "949-631-6500",
            "fax_number": "949-631-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY KARAMLOU, M.D., INC., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "KARAMLOU",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-631-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A72397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A723970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.